目的:探讨深层巩膜和狄氏膜切灼联合前房注气术治疗青光眼和难治性青光眼的临床疗效。方法:采用深层巩膜和狄氏膜切灼联合前房注气术对完成追踪观察的102例111眼青光眼和难治性青光眼进行治疗。结果:术后随访18～36(平均21.5)mo术后眼压比术前下降,青光眼手术前和手术后眼压差异均有统计学意义。功能性滤过泡形成率为95.5%。结论:深层巩膜和狄氏膜切灼术联合前房注气术治疗各种类型青光眼安全而有效。

AIM:To study deep sclera and Descemetic membrane incision with anterior air for glaucoma and refractory neovascular glaucoma.METHODS:Deep sclera and Descemetic membrane incision was performed in 111 eyes of 102 patients with glaucoma and refractory neovascular glaucoma.RESULTS:Follow-up period ranged from 18 to 36(mean 21.5)months.The mean IOP decreased significantly after operoction.The functional bulb forming was seen in glaucoma(95.5%)after operation.The mean visual acuity significantly changed before and after operation(P<0.05).No severe intraoperative and postoperative complications were found.CONCLUSION:A safe and effective result is observed in the deep sclera and Descemetic membrane incision with anterior air in the treatment of various glaucoma.

R779.6